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BICSc Corporate Membership

Corporate Membership Application Form

Application Reference:(for office use only)

Corporate Member Application Form

To apply for BICSc Corporate Membership please complete the form below, select the print button to print the form and sign it before sending it to us. Please note that your details will not be transmitted across the internet during this process.

To apply for BICSc Corporate Membership please complete the form below, ensuring it has been signed by both the applicant and a supporting client or existing Corporate Member, then send it to address at the bottom of the form.

All fields marked with an asterisk (*) are mandatory

Applicant Details

Company Name: *

Enter the name of the company applying for membership

Your Address: *

Address Line 1 *

Address Line 2:

Address Line 3:

Town: *

County:

Postcode *

Telephone Numbers: *

Land Line Number (e.g. 01604 123456): *

Fax Number (e.g. 01604 123456):

Email Address:*

Email (e.g. name@yourdomain.com):

Website Address:

URL (e.g. www.yourdomain.com):

Company Reg. No.:*

Company Number:

Company VAT No.:

VAT Number:

Responsible Executive (for this membership)

Full Name:*

Enter the full name of the person responsible for this membership:

Position:*

Enter the position the above person holds within the company:

Telephone Numbers:*

Land Line Number (e.g. 01604 123456): *

Mobile Number (e.g. 01604 123456):

Email Address:

Email (e.g. name@yourdomain.com):

Person Nominated For Free Membership (if different from Responsible Executive)

Full Name:

Enter the full name of the person responsible for this membership:

Position:

Enter the position the above person holds within the company:

Telephone Numbers:

Land Line Number (e.g. 01604 123456):

Mobile Number (e.g. 01604 123456):

Email Address:

Email (e.g. name@yourdomain.com):

Principal Trading Activities of Company:

Company Details

Date Established: *

in DD/MM/YYYY format:

Number of employees: * 1-10 11-20 21-50 51-100 100+

Does the company have any in-house training?* No
BICSc
NVQ
SVQ
Other (please specify)

Does the company have:* ISO
IiP
Other (please specify quality standards)

Are any employees in your organisation currently members of BICSc:* Yes No

Has the company had any claim made against it with reference to workmanship in the last five years for which damages have been paid: * Yes No

Subscription Rates

Please tick which is applicable: *

Turnover/Budget	Subscription	VAT #	Total Due
Up to £250,000	£ 247.17	£ 10.83	£ 258.00
£250,001 - £1,000,000	£445.49	£19.51	£465.00
£1,000,001 - £5,000,000	£862.23	£37.77	£900.00
£5,000,001 - £20,000,000	£1336.46	£58.54	£1395.00
Over £20,000,000	£2313.66	£101.34	£2415.00

VAT is charged at 4.38% (25% of the standard rate) for subscriptions.

I wish to pay by: * Cheque Annual Direct Debit Monthly Direct Debit Credit Card

Payment by Annual Direct Debit is subject to 5% discount

You must now print out the form using the button on the right, sign the form, and send it to us for processing at the address shown on the form

* To be completed by a BICSc Corporate Member or supporting client.

I/We believe that are an appropriate organisation to become Corporate Members of

The British Institute of Cleaning Science.

Signed:

Organisation:

Position:

Date:

* To be completed by the applicant:

I/We agree to abide by the Code of Practice of the Institute:

Signed:

Position:

Date:

Submitting Your Application

Please send completed forms to:

Membership Services
The British Institute of Cleaning Science
9 Premier Court,
Boarden Close,
Moulton Park,
Northampton,
NN3 6LF

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